OKLAHOMA DEPARTMENT OF LIBRARIES
OFFICE OF ARCHIVES AND RECORDS
RECORDS MANAGEMENT DIVISION

RECORDS TRANSFER AUTHORIZATION
	
AGENCY REQUESTING TRANSFER

	DATE PREPARED

DIVISION or SECTION

AGENCY ADDRESS

NAME OF AGENCY CONTACT

	PHONE NUMBER OF AGENCY CONTACT 

SIGNATURE and TITLE of AUTHORIZING

    HARD COPY RECORDS
	
    MICROFILM	
    MICROFICHE	
    COMPUTER TAPES	
    OTHER	
RECORDS DISPOSITION SCHEDULE NUMBER

or	RECORDS DISPOSITION AUTHORIZATION NUMBER	

SERIES
NUMBER	
SERIES TITLE	
INCLUSIVE DATES	
VOLUME or REEL #	
AUTHORIZED DISPOSITION	

	

	

	

	

	
(FOR OKLAHOMA DEPARTMENT OF LIBRARIES USE)	
ACCESSION NUMBER
	DATE RECORDS WERE ACCESSIONED
	LOCATION:
Row  _______
Vault 1  _______
	
      Tier  _______
 Vault 2  _______	
SIGNATURE of DEPARTMENT of LIBRARIES REPRESENTATIVE

WHITE    - Archives and Records Commission Copy
YELLOW - Agency Copy	RMD Form 2
Rev.  07/99